- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,840.32 / $31,622.78
| Facility | | $17,378.01 | $28,840.32 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,840.32 / $39,810.72
| Facility | | $19,498.45 | $28,840.32 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $23,442.29 / $34,673.69
| Facility | | $15,848.93 | $23,442.29 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,387.21 / $32,359.37
| Facility | | $15,488.17 | $22,387.21 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $25,118.86 / $41,686.94
| Facility | | $4,073.80 | $25,118.86 | $41,686.94 |